Eller, Kimmy Shin

Eller, Kimmy Shin is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Eller, Kimmy Shin can be contacted via phone (757) 668-6589.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-6589
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202004900 Virginia

Profile Details

NPI number 1104032523
LBN Legal business name Eller, Kimmy Shin
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104032523 NPPES
Virginia Other 12051459 ASHA CERTIFIED MEMBER

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